This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 11065% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 719% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2019 | $59.38 | $35.96 | 1.65x | $23.42 | $44.1K | 1.2K | 17 |
| 2020 | $171.01 | $103.20 | 1.66x | $67.81 | $361.6K | 3.5K | 21 |
| 2021 | $298.32 | $127.19 | 2.35x | $171.13 | $926.8K | 7.3K | 29 |
| 2022 | $625.21 | $231.24 | 2.70x | $393.97 | $2.7M | 11.7K | 23 |
| 2023 | $867.86 | $349.22 | 2.49x | $518.64 | $4.9M | 14.1K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4197 | Puraply xt, per square centimeter | 13.4K | $2.3M | $174.29 | 3.09x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 3.7K | $1.8M | $480.00 | 2.28x |
| Q4164 | Helicoll, per square centimeter | 1.5K | $1.5M | $1.0K | 2.07x |
| Q4194 | Novachor, per square centimeter | 1.4K | $1.2M | $828.67 | 2.35x |
| Q4159 | Affinity, per square centimeter | 2.4K | $1.2M | $472.97 | 2.15x |
| Q4196 | Puraply am, per square centimeter | 2.8K | $244.4K | $86.24 | 2.32x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 1.5K | $169.0K | $110.08 | 4.53x |
| Q4160 | Nushield, per square centimeter | 1.3K | $103.6K | $77.29 | 3.23x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.1K | $60.9K | $54.51 | 2.03x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 2.0K | $57.3K | $28.82 | 2.09x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 478 | $38.9K | $81.31 | 2.21x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 772 | $26.5K | $34.33 | 2.19x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 172 | $25.3K | $147.11 | 1.78x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 362 | $23.7K | $65.37 | 2.15x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 448 | $21.5K | $47.92 | 2.17x |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 1.0K | $21.3K | $20.72 | 2.17x |
| 13160 | Extensive or complicated repair of surface wound reopening | 42 | $20.3K | $484.08 | 2.31x |
| 28005 | Incision of foot bone | 36 | $14.7K | $407.38 | 2.95x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 201 | $14.1K | $70.06 | 2.11x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 239 | $11.6K | $48.64 | 2.09x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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